Quality Analyst (A&G)

The QA Analyst is responsible for assisting, organizing and facilitating strategic program creation and implementation. This role assists in researching and compiling appropriate and relevant data and feedback for risk activities. This role also includes calibrating team member to meet best practices for our appeals and grievance department.

RESPONSIBILITIES:

• Assists in the research, analysis, identification, and evaluation of data from assigned problems to evaluate existing and potential trends and issues
• Maintains comprehensive knowledge of business, products, programs (including Utilization and Case Management) corporate organizational structure (including functional responsibilities), and basic research principles/methodologies
• Assists in monitoring initiatives, outcomes, and objectives to ensure goal attainment within defined parameters
• Assists in development of lines of communication to discuss/review ...